Author(s):
1. Rizwan Nazeer:
Department of Operative Dentistry, Bahria University Medical and Dental College,Karachi,Pakistan
2. Shizrah Jamal:
Department of Surgery, Aga khan University Hospital, Karachi, Pakistan.
3. Farhan Raza Khan:
Department of Surgery, Aga khan University Hospital, Karachi, Pakistan.
Abstract:
This case report is of a 31-year-old female who presented with splinted and faulty metalloceramic prosthesis on maxillary anterior teeth, which was responsible for localised periodontal disease and poor aesthetics. At multiple sites the ceramic had chipped off and the prosthesis colour did not match with the adjacent healthy teeth. A multidisciplinary approach of endodontics, periodontics and prosthodontics was employed for this case. The treatment plan consisted of removing the faulty prosthesis, endodontic retreatment of inadequately root-treated teeth and endodontics in the other coronally prepared abutment teeth. Crown lengthening surgery was performed for the correction of periodontal pockets and high smile line and maintenance of an adequate biological width. After periodontal healing, all-ceramic individual crowns were placed on the maxillary anterior teeth along with a threeunit all-ceramic bridge for the replacement of the left upper maxillary fi rst premolar. The fi nal results were aesthetically pleasing with good marginal fi t. The patient was extremely satisfi ed with the outcome as all her concerns were addressed. It is, therefore, advisable to consider placing individual crowns rather than multiunit splinted prosthesis whenever possible.
Page(s):
159-163
DOI:
DOI not available
Published:
Journal: Journal of Pakistan Medical Association, Volume: 71, Issue: 1, Year: 2021
Keywords:
all ceramic crown
,
high smile line
,
Crown lengthening surgery
,
periodontal disease
References:
References are not available for this document.
Citations
Citations are not available for this document.